HomeMy WebLinkAboutD.N.I. HEATING A.C. REFRIGERATION INC. - INSURANCE CERTIFICATE��
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DNIHEAT-01
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDlYYYY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANd CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AL7ER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER�S�, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDI710NAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rit�hts to the ce�tifitate holder in Ifeu of such endorsementtsl.
PRODUCER
PFS Insurance Group
4846 Thompson Parkway Sufte 200
Johnstown, CO 80534
INSURED
b.N.l. HeatinglA.C./Refrigeration Inc.
PO Box 565
14196 CO Itd 7
Mead, CO 80542
sas-saoo
nsurance.com
�r,suRsa a: Citizens Insurance Comnanv of America
fi35-9401
3�534
COVERAGES CERTIFICATE NUMBER: R�YISI�N NUMB�R:
THIS IS T� CERTIFY TFiAT THE POLICIES OF INSt1RANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEd ABOVE FOR THE POLICY PERIOD
INdICATED. NOIWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO VNiICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES I.IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TypE OF INSURANCE ADUL SUBR pp�CY Nl1MBER POLICY EFF POIJCY E7(P LIMITS
A X COMMERCIAL GENERAL LU181LITY EACH OCCURRENCE a 1,000,000
CLAIMS�AADE X OCCUR 60539025 5I1l2023 5J�JQaQ4 DAMAGHTORENTED ���,��Q
&E&1Ea�ue,7anr�l 5
_______ MED EXP M one rson E 5,���
PERSONAI 8 ADV INJURY S �,�OO,OOO
GEN'L AGGREGATE LIMIT APPLIES PER GENERAI. AGGREGA7E y 2,QOO,OOO
X POLICY �,j��7 [ 1 LOC PRODUCTS COMPlOP AGG 3 Z+OOO,OOO
dTHER
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1,OOO,QOQ
X ANY AU70 64539025 5/i i2�23 51�12024 BODILY INJURY Per rson E
ONMEO SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY Per eccideM S
X AUTOS ONLY X AU�OS ONLY ��a08��e�pAMAGE a
1
A X UMBRELLA LIAB X OCCUR FACH QCCURRENCE a 4,4��,400
excess une CLAIMS�AADE 64539025 511l2023 5I112024 pGGREGATE g 4,000,000
DED X RETENTiON S d
B WORKERS COMPENSATION �( PER OTH-
AND EMPLOYERS' LIABIUTY
ANY PRQPRIETOR/PARTNERIEXECUTIVE Y f N B4H4T8312 ZIi JZO24 zI112O23 'I,OOO,OOO
FFICER/ME Mg�� EXCLUDE6? �Y N I A E L. EACH ACCIpENT $
�iAandatory In N►f) E L. OISEASE - EA EMPLOYE S 5,���,���
It yes, describe under � 9,000,000
DESCRIPTION OF OPERATIONS bebw E L DISEASE - POUCY LIMIT
DESCRIPTIOH OF OPERATIONS ! LOCATIONS / VEHICLES (ACORD 70i, Adeltlonat Remarks Schedute, may be etteched Ii more apace Is roqulmd)
City of Fort Collins
261 N College
Fort Collins, CO 80524
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS.
AUTHORIZE� REPRE8ENTATIVE
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ACORD 25 (2016I03) O 1988-2015 ACORD CORPQRATtON. All rights �eserved.
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